119例恶性血液病患者医院感染分析  

Analysis of nosocomial infection in 119 patients with hematological malignant disease

作　　者：焦一伟[1] 肖艰[1] 刘桂英[1] 

机构地区：[1]自贡市第一人民医院,四川自贡643000

出　　处：《临床医药实践》2009年第2期112-113,共2页Proceeding of Clinical Medicine

摘　　要：目的：探讨恶性血液病医院感染的危险因素、病原体种类、感染部位等。方法：对119例恶性血液病患者医院感染进行回顾性调查分析。结果：119例恶性血液病患者化疗发生医院感染62例，占52．1％，以呼吸道感染最常见（46．0％），病原学以革兰阴性杆菌最多（55．1％），其次是真菌（23．0％）。粒细胞缺乏组感染率82．8％，非粒细胞缺乏组感染率42．2％。结论：化疗、粒细胞缺乏、大量使用抗生素是医院感染、真菌感染常见的危险因素。Objective：To study the risk factors, pathogen classes and the infection locations in patients with hematological malignant diseases. Methods：Nosocomial infections in 119 patients with hematological malignant diseases were analyzed retrospectively. Results：Sity-two cases developed nosocomial infection after doing chemotherapy,and the proportion was 52.1% ,Respiratory infection was the most common infection location,and the ratio was 46.0%. The infection rate of the gram-negative bacilli was 55.1% ,the fungus was 23.0%. The infection rate of patients with agranulocytosis was 82.8 %,while the non-agranulocytosis group had the rotio of 42.2 %. Conclusion zChemotherapy, agranulocytosis and over applying the antibiotics were the main factors of nosocomial infection.

关 键 词：恶性血液病 医院感染 分析 

分 类 号：R773[医药卫生—眼科]